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Individual

MR. MILTON JAMES WILSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
L.M.T.

Contact information

Practice address
3401 CARLISLE BLVD NE, ALBUQUERQUE, NM 87110-1648
(505) 889-3333
Mailing address
4931 GUADALUPE TRL NW, ALBUQUERQUE, NM 87107-3371
(505) 344-5013

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0434
NM

Other

Enumeration date
05/02/2008
Last updated
05/02/2008
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